The largest revenue-raiser in the just-completed state budget, worth $2 billion over four years, is not a tax or a fee or even a legal settlement. It takes the form of semi-voluntary “grants,” mostly to be squeezed out of a Catholic Church-affiliated health plan.
Governor Cuomo’s proposal to expropriate “excess” reserves from Medicaid managed care plans would apparently target just two insurers—Fidelis Care and MetroPlus—even though their reserve levels are not unusually high.
Fidelis Care, a Catholic Church-affiliated health plan, is the target of a second revenue-raising proposal from Governor Cuomo.
If Governor Cuomo succeeds in imposing a tax on prescription opioids, state government would largely be taxing itself.
The past year has been a roller-coaster for New York’s health-care system, as Congress tried repeatedly to scale back Medicaid and dismantle the Affordable Care Act while allowing other health-related programs to lapse. Because New York depends so heavily on federal health dollars, it had more to lose than almost any other state.
After many dire warnings about cuts to health care in Washington, it’s worth noting that federal funding for the state’s massive Medicaid program is still on track to go up, not down, in the year ahead.
With the state facing its grimmest budget outlook in years, the legislative session shows signs of becoming a tug-of-war between public schools and health care—the two biggest recipients of state spending and, not coincidentally, the two heaviest-hitting lobbying forces Albany.
Here’s something you don’t see every day: a report about Medicaid in which New York’s costs are substantially lower than the national average.